Healthcare Provider Details

I. General information

NPI: 1225026594
Provider Name (Legal Business Name): SYNAPSE THERAPEUTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WESTERN AVE
GLENDALE CA
91201-2870
US

IV. Provider business mailing address

501 WESTERN AVE
GLENDALE CA
91201-2870
US

V. Phone/Fax

Practice location:
  • Phone: 818-242-5887
  • Fax: 818-507-6324
Mailing address:
  • Phone: 818-242-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARTHUR AVETISYAN
Title or Position: CEO/SEC/CFO/DIR/PRESIDENT
Credential:
Phone: 818-242-5887